Organization
COMPLETE 180
Active
Organization
COMPLETE 180
Active
Other names
Complete 180 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA JASPER PHARM. D (OWNER)
(352) 255-2695
Entity
Organization
Contact information
Practice address
4750 SOUTEL DR, SUITE &, JACKSONVILLE, FL 32208-8510
(352) 255-2695
Mailing address
PO BOX 57411, JACKSONVILLE, FL 32241-7411
(352) 255-2695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS36762
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
55903
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PU6243
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PU6243
FL
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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